NURS FPX 6210 Assessment 2 Strategic Planning

NURS FPX 6210 Assessment 2 Strategic Planning

Name

Capella university

NURS-FPX 6210 Leadership and Management for Nurse Executives

Prof. Name

Date

Strategic Planning

In contemporary healthcare settings, strategic planning is essential for addressing current challenges and anticipating future obstacles. This assessment emphasizes that Cleveland Clinic must prioritize the prevention of Hospital-Acquired Infections (HAIs) through a comprehensive five- to ten-year strategic plan. The focus lies on optimizing existing infection prevention measures and significantly reducing the frequency of HAIs within the clinic.

To achieve this, the Balanced Scorecard (BSC) framework is combined with a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis. This integrated approach provides a well-rounded solution by addressing financial considerations, patient outcomes, internal processes, and educational needs (Costa et al., 2022). Utilizing these tools, Cleveland Clinic can enhance its care quality by effectively mitigating HAI risks and maintaining efficient healthcare delivery.

Strategic Goals and Outcomes for Improvements

Cleveland Clinic aims to enhance medical safety and efficacy by establishing specific, measurable strategic goals focused on reducing HAIs, identified through SWOT analysis. The short-term objective targets a 35% reduction in HAIs within high-risk areas such as Intensive Care Units (ICUs) over one year. This will be accomplished by implementing research-based Infection Prevention and Control (IPC) programs, improving hygiene standards, expanding resources, upgrading surveillance, and providing staff training. The success will be evaluated by tracking HAI incidence per 1,000 patient days in ICUs (Braun et al., 2020).

For the long term, the clinic plans to cultivate a culture of safety emphasizing IPC over a five-year period. This involves continuous staff education, increasing patient awareness, deploying advanced monitoring systems, and enhancing interdisciplinary cooperation (Kubde et al., 2023). Patient education on infection prevention plays a vital role, alongside adopting state-of-the-art disinfection technologies like ultraviolet radiation and electrostatic sprayers. The ultimate goal is a 60% reduction in HAIs as measured per 1,000 patient days (Kubde et al., 2023).

The short-term goal builds a foundation for sustained improvement, with a 30% reduction in ICU infections demonstrating the effectiveness of targeted IPC strategies and facilitating cultural shifts. Achieving early success encourages stakeholder buy-in, including clinicians, pharmacists, managers, and patients, which is essential for long-term efforts (Salous et al., 2021).

Timeline for Short-Term Goal

Activity Time Duration Description
IPC Program – Initial Assessment 1 to 3 months Evaluation of current IPC practices and resources
IPC Program – Phase 1 4 to 6 months Designing IPC training and protocols
IPC Program – Phase 2 7 to 9 months Implementation of IPC practices and staff training
IPC Program – Phase 3 (Evaluation) 10 to 12 months Measuring IPC impact on HAI rates (target 30% decrease in ICU)

Timeline for Long-Term Goal

Activity Time Duration Description
HAI Reduction & IPC Protocol Analysis 1st year Reviewing and improving hygiene protocols and resources
IPC Program – Phase 1 (Training) 2nd year Bi-annual staff IPC training and improved interdisciplinary collaboration (15% HAI reduction)
IPC Program – Phase 2 (Innovation) 3rd year Adoption of advanced disinfection methods (25% HAI reduction)
IPC Program – Phase 3 (Patient Awareness) 4th year Patient education on HAIs and hand hygiene (35% HAI reduction)
IPC Program – Phase 4 (Monitoring & Evaluation) 5th year Environment monitoring and ongoing assessment to achieve 60% reduction

Analysis of Strategic Goals: Technology, Ethics, Culture, and Regulations

Ethical Environment

The clinic’s strategic goals align with core ethical principles such as autonomy, beneficence, and nonmaleficence, prioritizing patient safety and quality care. By applying evidence-based IPC methods, Cleveland Clinic aims to improve health outcomes while safeguarding patient confidentiality in compliance with HIPAA regulations (Varkey, 2021).

Cultural Environment

The goals also emphasize cultural competence by tailoring interventions to diverse patient populations. Recognizing barriers like language, prejudice, and mistrust, the clinic promotes patient engagement to ensure HAI prevention strategies are culturally sensitive and effective (Chauhan et al., 2020).

Use of Technology

Technological innovation supports IPC goals through electronic health records for infection tracking and environmental monitoring systems to detect risks promptly. These tools facilitate personalized and timely infection control responses (Classen et al., 2024; Kubde et al., 2023).

Healthcare Policies, Laws, and Regulations The clinic’s objectives comply with national standards, including CDC guidelines and Healthy People 2030 initiatives, emphasizing hygiene and education to reduce HAIs (CDC, 2022; Healthy People 2030, 2020). Despite regulatory alignment, barriers such as resource limitations and stakeholder engagement challenges remain and must be addressed for successful implementation (Kubde et al., 2023).

References

Alharbi, A., Rasmussen, P., & Magarey, J. (2021). Clinical nurse managers’ leadership practices in Saudi Arabian hospitals: A descriptive cross‐sectional study. Journal of Nursing Management29(6), 1454-1464. https://doi.org/10.1111/jonm.13302

Braun, B. I., Chitavi, S. O., Suzuki, H., Soyemi, C. A., & Puig-Asensio. M. (2020). Culture of Safety: Impact on improvement in infection prevention process and outcomes. Current Infectious Disease Reports22(12). https://doi.org/10.1007/s11908-020-00741-y

NURS FPX 6210 Assessment 2 Strategic Planning

CDC. (2022). Infection control. Cdc.gov. https://www.cdc.gov/infectioncontrol/index.html  

Chang, L.-C., & Lin, W.-C. (2022). Improving computational thinking and teamwork by applying balanced scorecard for sustainable development. Sustainability14(18). https://doi.org/10.3390/su141811723 

Chauhan, A., Walton, M., Manias, E., Walpola, R. L., Seale, H., Latanik, M., & Harrison, R. (2020). The safety of health care for ethnic minority patients: A systematic review. International Journal for Equity in Health19, 1-25. https://doi.org/10.1186/s12939-020-01223-2

Chen, D., & Cojocaru, S. (2023). Navigating a pandemic: Leadership dynamics and challenges within infection prevention and control units in Israel. Healthcare11(22), 2966–2966. https://doi.org/10.3390/healthcare11222966

Classen, D. C., Rhee, C., Dantes, R. B., & Benin, A. L. (2024). Healthcare-associated infections and conditions in the era of digital measurement. Infection Control & Hospital Epidemiology45(1), 3-8. https://doi.org/10.1017/ice.2023.139

NURS FPX 6210 Assessment 2 Strategic Planning

Cleveland Clinic. (2024). Mission, Vision & Values. clevelandclinic.org. https://my.clevelandclinic.org/about/overview/who-we-are/mission-vision-values

Costa, R. L. D., Pereira, L., Dias, Á., Gonçalves, R., & Jerónimo, C. H. (2022). Balanced scorecard adoption in healthcare. International Journal of Electronic Healthcare12(1), 22-40. https://doi.org/10.1504/IJEH.2022.119581

Healthy People 2030. (2020). Health care-associated infections — Healthy People in action. health.gov. https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-care-associated-infections/healthy-people-in-action

Hosseinnejad, A., Rassouli, M., Jahani, S., Elahi, N., & Molavynejad, S. (2022). Requirements for creating a position for community health nursing within the Iranian primary health care system: A SWOT analysis. Frontiers in Public Health9, 793973. https://doi.org/10.3389/fpubh.2021.793973

Kubde, D., Badge, A. K., Ugemuge, S., & Shivani Shahu. (2023). Importance of hospital infection control. Curēushttps://doi.org/10.7759/cureus.50931

Magadze, T. A., Nkhwashu, T. E., Moloko, S. M., & Chetty, D. (2022). The impediments of implementing infection prevention control in public hospitals: Nurses’ perspectives. Health SA Gesondheid (Online)27, 1-8. https://doi.org/10.4102/hsag.v27i0.2033

Ramadhani, S. L., Suyono, T., Khu, A., & Happy, H. (2022). Health Belief Model effect on nurses hand hygiene adherence. International Journal of Educational Research & Social Sciences3(2), 225-231. http://dx.doi.org/10.51601/ijhp.v3i2.118

Salous, A. K., D’Adamo, C. R., Rubin, J., Zweigle, J., Cantos, E. A., Lopez-Perez, M., & Ahuja, V. (2021). Stakeholder engagement significantly decreased colorectal surgical site infections. Surgical Infections22(3), 305-309. https://doi.org/10.1089/sur.2019.134

Varkey, B. (2020). Principles of clinical ethics and their application to practice. Medical Principles and Practice30(1), 17–28. https://doi.org/10.1159/000509119